| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $6,025.60 | $16,595.87 | |
BCBS
| Facility | $2,137.96 | $3,715.35 | $6,606.93 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
Medcost
| Professional | $245.47 | $245.47 | $245.47 | |
Medcost
| Facility | $74.13 | $125.89 | $204.17 | |
United
| Facility | $380.19 | $1,202.26 | $3,548.13 |